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Care Navigator
Safety Wing. Serve as the warm, persistent point of contact for members with confusing bills, denials, or complex questions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing, claims processing, and pre-authorizations, with a strong ability to communicate complex information clearly to members. Proven track record in coordinating between members, providers, and payers to resolve billing issues and improve plan efficiencies.
Highest-signal resume keywords
Medical Billing ExperienceClaims ProcessingCPT and ICD Coding FamiliarityBCPA CertificationPatient Coordination
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ManagementEOB ReviewPre-Authorization SubmissionError IdentificationBilling Advocacy
Soft Skills
Warm CommunicationPersistenceIntellectual CuriosityCreativityIntegrity
Certifications & Qualifications
BCPA Certification
Industry Keywords
Medical AdministrationPatient AdvocacyHealth InsurancePlan DesignAdministrative Navigation
About the role
Key responsibilities & impact- Serve as the warm, persistent point of contact for members with confusing bills, denials, or complex questions
- Help members navigate the appeals process and review complex cases
- Review EOBs to identify errors and advocate for members
- Coordinate between members and providers to resolve billing and coverage issues end to end
- Help members and providers understand prior authorization requirements and ensure submissions are correct and timely, including specialty and pharmacy pre-authorization
- Translate plan design and benefits into plain language
- Direct members toward high-value, in-network care and providers through administrative navigation
- Flag patterns in claims and costs to support plan improvements
- Connect members with external partners and internal teams
Requirements
What you’ll need- Have several years in a medical-administrative or patient-facing coordination role
- Have hands-on experience with claims, medical billing, and pre-authorizations, and can read an EOB and spot when something's off
- Have working familiarity with CPT and ICD coding and how charges are built and submitted
- Are comfortable coordinating across members, providers, and payers, with the persistence to chase something to resolution
- Communicate warmly and clearly with members
- Extra shine if you have prior experience on the payer or claims-administration side of health insurance, hold a BCPA certification, or come from a clinical-adjacent background
- Want to help build a global social safety net on the Internet
- Think for themselves instead of copying others
- Are willing to try new things, even with the risk of failure
- Are intellectually curious and open to new ideas
- Are creative and bold in the face of any problems
- Have strong integrity and do the right thing
Benefits
Comp & perks- Fully remote work environment – work from anywhere globally
- Our own global safety net, giving you worldwide health, income, and travel coverage
- A minimum of four weeks of vacation per year
- A new laptop when you need one
- Potential to unlock equity compensation, yearly home office allowance and more!